Thank you, Cigna

I just received confirmation from our good friend, Tim, at Cigna that ALL of Caroline's speech therapy needs will be covered on an in-network basis for the balance of the calendar year, with no additional requirements! Caroline is pleased with the result of my efforts!!

Here is the email from, Tim!

Good Morning Kacie,

I received an update this morning for Caroline's speech therapy. Your employer has approved all speech therapy services to be processed in-network at billed charges for Caroline effective August 15, 2013 until December 2014. You can go ahead and make an appointment with a speech therapist of your choice! I have documented all of the information under Caroline's account. I will be leaving the office this morning until 11:00 p.m. ET, but if you have any additional questions or concerns, please feel free to e-mail me and I will get back to you as soon as I return. Have a great day!

Tim

I texted Tim's email to John and with a note that says, "why you love me." John responded, "I love Kacie and Tim a little."

I am over the moon happy, right now!!!

Cigna's Response Highlights the Need for Insurance Reform

After writing my last entry, I tweeted it and shared across several social platforms.  Via Twitter, Tim from Cigna requested that I send him an email so he could further look into my issue. At least Cigna was responsive via social media, I thought to myself as I drafted a quick but polite email to Tim.

As you will see from Tim's response below, he told me what the representative on the phone already told me--so in fact the only thing he did was waste more of my time. I understand he was doing his job and following the standard operating procedures established by executives whose bonuses could pay for Caroline's therapy for a year, but still I am frustrated. 

Tim's response:

Hello Kacie,

Thank you for taking to the time to e-mail me your information. I was able to research your account this evening and unfortunately I do have some bad news. Since you are an OAP member with in and out of network benefits we are unable to complete a network adequacy appeal. I know this is not the answer you were looking for and I tried to see if there was anything I could do internally, however this is a standard operating procedure for PPO and OAP plans in relation to ancillary services. I am truly sorry for the inconvenience this has caused you and your family and I hope that in the future we can establish a broader network of speech therapist in your area. I know that I wasn't able to give you the answers you were looking for with this issue, but if there is anything that I can do to help you in the future please feel free to email me. I wish you and Caroline the best of luck and hope you enjoy the rest of your week.

Tim

Please like this post if you are frustrated with insurance companies.